BRYANT W PIERCE (NPI# 1023060316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023060316 |
| Entity Type | Individual |
| Full Name | BRYANT W PIERCE |
| Credential | MD |
| Practice Address |
1840 Wealthy St Se Grand Rapids MI 49506-2921 |
| Mailing Address |
2537 Momentum Place Chicago IL 60689-5325 |
| Practice Telephone | 6167747444 |
| Mailing Telephone | 6169751845 |
| Mailing Fax Number | 6162850846 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2012-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 4301038089 | MI | Allopathic & Osteopathic Physicians |
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
4301038089 | MI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 4301038089 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | RAILROAD MEDICARE | 930080725 | 01 |
| Street Address |
1840 WEALTHY ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506-2921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366416463 | Zamir Gani Podgorica | Internal Medicine | 1840 Wealthy St Se, Mc 426, Grand Rapids, MI 49506-2921 | 2006-02-15 |
| 1275142564 | William Donald Gower York | Physician Assistant | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2020-07-23 |
| 1558992172 | Jennifer Lynn Hauck | Dietitian, Registered | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2020-02-02 |
| 1144873845 | Lisa Joy Mccann-spry | Clinical Nurse Specialist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2019-07-22 |
| 1942862107 | Rose Lauren Clousing | Physician Assistant | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2019-07-08 |
| 1144781675 | Cheryl Sue Houseman | Clinical Nurse Specialist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2019-03-27 |
| 1336646835 | Christopher John Hopkins | Occupational Therapist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2018-04-11 |
| 1184128910 | Cory Farrell | Physical Therapist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2018-03-19 |
| 1508369356 | Jodie M Dixon | Physical Therapist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2018-03-16 |
| 1609379957 | Andrea Lueck | Physical Therapist | 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 | 2018-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
| 1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
| 1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
| 1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
| 1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
| 1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
| 1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
| Find all providers in zip 49506 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295201234 | Nicholas Strockis | Emergency Medicine | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2018-10-17 |
| 1982040598 | Bradley Scott Huizenga | Emergency Medicine | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2013-05-22 |
| 1093934267 | Julie Wilson | Emergency Medicine | 3210 Eagle Run Dr Ne, Suite 100, Grand Rapids, MI 49525-7051 | 2007-04-25 |
| 1336261395 | Gary David Poelman | Emergency Medicine | 3355 Eagle Park Dr Ne, Ste103, Grand Rapids, MI 49525-7004 | 2007-04-03 |
| 1497763494 | Jon Krohmer | Emergency Medicine | 100 Michigan Ne, Grand Rapids, MI 49503 | 2006-08-04 |
| 1124036124 | Henry Hammersmith | Emergency Medicine | 100 Michigan Ne, Grand Rapids, MI 49503 | 2006-08-04 |
| 1346257268 | Dale J Ray | Emergency Medicine | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2006-08-02 |
| 1831106749 | Gary R Mikula | Emergency Medicine | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2006-08-02 |
| 1396759965 | Matthew Denenberg | Emergency Medicine | 100 Michigan St Ne, Grand Rapids, MI 49503-2506 | 2006-07-28 |
| 1497769004 | Bruce Nugent | Emergency Medicine | 100 Michigan Ne, Grand Rapids, MI 49503 | 2006-07-28 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
Please comment or provide details below to improve the information on BRYANT W PIERCE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.